Louis Robert Broadhurst
Individual provider Active NPI Physical Therapy Assistant · Donnellson, IA
NPI 1043096324 · NPPES record last updated Sep 4, 2023
Key facts
- NPI
- 1043096324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 620 Park St
Donnellson, IA 52625-9628 - Phone
- (319) 795-6495
- NPI assigned
- Sep 4, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
620 Park St
Donnellson, IA 52625-9628
Mailing address
620 Park St
Donnellson, IA 52625-9628
Phone (319) 795-6495
Other names
- Louis Robert Broadhurst
Other providers in Donnellson, IA
- Abby Altenhofen Communication Therapy, LLC
- Susan Louise Abel
- Abagail Altenhofen
- Heather Anderson
- Bette Lou Burke
- Central Lee C.S.D.
- Donnellson Chiropractic Clinic, PC
- Donnellson Health Center, Inc.
- Donnellson Healthcare and Rehabilitation Center LLC
All providers in Donnellson, IA · Physical Therapy Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.